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Generate impression based on findings. | There is a comminuted fracture of the lateral wall of the right orbit extending into the right zygoma and adjacent greater wing of the sphenoid. There is diastasis of the right frontozygomatic suture. There is a fracture of the anterior wall of the right maxillary sinus with minimal hemorrhage. There are punctate hype... | 1. Extensive soft tissue injury and laceration to the right periorbital and temporoparietal region.2. Comminuted fracture of the right lateral orbital wall, right zygoma and adjacent greater wing of the sphenoid with diastasis of the right frontozygomatic suture. 3. Mildly displaced anterior wall fracture of the right ... |
Generate impression based on findings. | 46-year-old female with right hip pain, evaluate for FAI MEASUREMENTS: CAM location : Right femoral head-neck junction.Alpha angle : Approximately 69 degreesCoronal center-edge angle : 20 degreesSagittal center-edge angle : 58 degreesFemoral neck-shaft angle : 136 degreesAcetabular version (1 o’clock) : 19 degreesAceta... | 1. Findings consistent with again CAM deformity and femoral acetabular impingement including subchondral cysts and prominence of the femoral head-neck junction.2. Measurements provided above. |
Generate impression based on findings. | There is no intracranial hemorrhage. There are no areas of abnormal attenuation. The ventricles and sulci are within normal limits for the patient's age. There is no midline shift or mass effect. There is no extraaxial fluid collection. Patchy hypoattenuation throughout the periventricular and subcortical white matter... | 1.No evidence of an acute intracranial abnormality. Please note that CT is insensitive for the detection of early nonhemorrhagic stroke. If clinical concern remains high, further evaluation with MRI is recommended.2.Nonspecific small defect in the inner table of the calvarium of the right frontal bone likely represent ... |
Generate impression based on findings. | 64-year-old male with enlarged calf, no DVT, rule out mass or other pathology Alignment is within normal limits. There is soft tissue swelling about the calf without underlying osseous lesion. Osteoarthritic changes are noted affecting the knee. Vascular calcifications are present in the soft tissues. | Soft tissue swelling about the calf without underlying osseous lesion. |
Generate impression based on findings. | 59 years old, Male, Reason: cholangiocarcinoma History: weakness, fatigue ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Extensive bilobar hepatic hypodensities consistent with known history of cholangiocarcinoma. There is an exophytic mass in the dome of the liver. The right anterior portal ... | 1.Innumerable hepatic lesions consistent with known cholangiocarcinoma.2.Diffuse retroperitoneal metastases encasing the vasculature and narrowing of the IVC.3.Moderate amount of ascites suggestive of peritoneal metastasis.4.Mild urinary bladder thickening may represent cystitis versus under distention. |
Generate impression based on findings. | 64-year-old male with persistent fevers, evaluate for septic joint Right shoulder: Mild osteoarthritis affects the shoulder. Glenohumeral alignment is within normal limits. No fracture is noted.Left shoulder: No humeral alignment is within normal limits. Mild osteoarthritis affects the shoulder.Right elbow: Alignment i... | 1. Constellation of findings including scattered erosions involving the wrists and left elbow as described above in an atypical distribution, consider underlying systemic disorder such as gout.2. Findings consistent inflammation of the left olecranon bursa. |
Generate impression based on findings. | Female 72 years old; Reason: evaluate dobhoff placement History: evaluate Dobbhoff placement Enteric tube projects in the left upper abdomen in the region of the gastric body.Pulmonary parenchymal opacities and central venous catheters are better evaluated on the chest radiograph. | 1.Enteric tube terminates in the region of the gastric body. |
Generate impression based on findings. | Female 51 years old; Reason: R/O diverticulitis vs. obstruction History: Abd pain, nausea, vomiting ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significa... | 1.7-mm left proximal ureter obstructive calculus with mild to moderate left renal hydronephrosis and patchy cortical enhancement most suspicious for pyelonephritis. |
Generate impression based on findings. | 41 year-old male with wound, evaluate for osteomyelitis The exam is limited due to inability to optimally position the patient due to contraction. There is a soft tissue ulcer adjacent to the greater trochanter of the left hip. The cortex of the underlying greater trochanter is not clearly distinct which given the deep... | Soft tissue ulcer adjacent to the greater trochanter with indistinctness of the underlying cortex concerning for osteomyelitis. Further evaluation with serial imaging or MRI may be considered if clinically warranted. |
Generate impression based on findings. | Male 78 years old; Reason: assess Dobbhoff placement History: as above Enteric tube partially coiled in the region of the gastric body.Bowel gas pattern is nonobstructive.Postsurgical changes in the right hip, partially imaged | 1.Enteric tube terminates in the region of the gastric body. |
Generate impression based on findings. | Female 37 years old; Reason: improvement of ileus? History: ileus Enteric tube projects over the region of the gastric body. Additional peritoneal catheter terminates in the left upper abdomen. Bladder catheter projects over the pelvis.Ingested enteric contrast now resides within the ascending and transverse colon. The... | 1.Mild distention of the colon suggestive of a colonic ileus. Small bowel gas pattern is nonobstructive. |
Generate impression based on findings. | Female 12 years old Reason: PNA? History: Needs supplemental oxygenVIEW: Chest AP (one view) 1/3/15 at 851 hours Central line tip is at the RA/SVC junction. Cardiac silhouette size is top normal. Worsening in bibasilar patchy opacities. Interval development of small right-sided pleural effusion. No pneumothorax. | Top normal cardiac silhouette size.Worsening in patchy bibasilar opacities. Interval development of small right-sided pleural effusion. |
Generate impression based on findings. | Female 56 years old; Reason: 56 y/o woman with metastatic breast cancer receiving chemotherapy. Evaluate extent of disease and treatment response. History: Bone and pelvic mets. No new symptoms. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions. Post radiation changes in the left upper lobe, anteriorly.MEDIASTI... | 1.Stable to slight decrease in the size of the right pelvic side wall mass causing the right ureter obstruction.2.Pockets of upper abdominal and pelvic ascites with peritoneal nodularity compatible with peritoneal carcinomatosis.3.Osseous metastatic disease. |
Generate impression based on findings. | Female; 34 years old. Reason: Evaluate for mandible fracture. History: Fell and hit chin on concrete w/ mandible pain mostly left sided. No acute fracture or malalignment.The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid bone... | 1.No acute fracture or malalignment.2.Partially impacted third molars with right third molar projecting into the maxillary sinus. |
Generate impression based on findings. | Male, 84 years old, status-post drain removal, history of subdural hemorrhage. The previously seen drain has been removed from the right sided subdural space. There remains a small amount of hyperdense extra-axial blood product subjacent to the burr hole, similar to prior. The right subdural space is expanded by fluid ... | Stable right-sided subdural collection status post removal of the drainage catheter. No new bleeding is seen. |
Generate impression based on findings. | Female 68 years old; Reason: assess for progression of ileus History: distention Enteric tube terminates in the region of the distal gastric body. Additional enteric tube terminates in the region of the proximal gastric body.Bowel gas pattern is non-obstructive.Bilateral pulmonary opacities and pleural effusions | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Motion artifact and suboptimal patient position degrade image quality. There is an area of hemorrhage measuring approximately 20 x 9 mm in the medial right thalamus with surrounding edema and local mass effect on the third ventricle. There is no evidence of intraventricular extension of hemorrhage. There is sequela of... | 1. Medial right thalamic hemorrhage with edema and local mass effect, but without intraventricular extension.2. Moderate narrowing of the left P2 segment. Additional scattered narrowing of the distal anterior and middle cerebral arteries could be related to motion, but cannot exclude additional stenosis. No evidence of... |
Generate impression based on findings. | There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no calvarial fracture. The visualized portions of the paranasal sinuses and mastoids/middle ear... | No acute intracranial abnormality and no significant interval change. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | Male, 66 years old, with subdural hemorrhage status post drain removal. The previously seen right-sided subdural drain has been removed. A subdural collection is redemonstrated on the right which is isoattenuating to brain. This collection has decreased in thickness in some areas by 1 or 2 mm. There is a small amount o... | Status post right subdural drain removal. The right-sided subdural collection may be slightly smaller. The small left-sided subdural collection is unchanged. |
Generate impression based on findings. | Female 58 years old; Reason: abdominal distention, tympanic exam, constipation, eval bowel gas pattern History: see above Bilateral pulmonary parenchymal opacities better evaluated on the chest radiograph. The enteric tube terminates in the region of the distal gastric body/antrum. There is mild gaseous distention of t... | 1.Mild nonspecific small bowel gaseous distention. |
Generate impression based on findings. | There has been significant interval improvement in cortical thickening and T2 hypersensitivity in the frontal lobes, cingulate gyri, and right parietal lobe. A small area of curvilinear T2 hyperintensity in the subcortical white matter of the left temporal lobe was not clearly seen on the prior study. There are no oth... | 1.Significant interval improvement in gyriform signal abnormalities seen on the prior MRI.2.Small, curvilinear T2 hyperintensity in the subcortical white matter of the left temporal lobe was not clearly seen on the prior study. No other new areas of abnormal signal. |
Generate impression based on findings. | Female 58 days old Reason: line placement History: concern for line movement, pulmonary edema. Abdominal distention.VIEW: Chest and abdomen AP (two views) 01/3/15 at 915 hours NG tube is in the stomach. Left upper extremity PICC terminates at the left axillary/subclavian vein.Cardiac silhouette size is normal. Minimal ... | Minimal diffuse haziness with no focal opacities.Disorganized, less distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There is encephalomalacia in the right cerebellar hemisphere and left thalamic region, related to chronic infarcts. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR h... | 1. No evidence of acute infarct.2. Chronic right cerebellar and left thalamic infarcts. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Female 54 years old; Reason: Dobbhoff tube placement History: Dobbhoff tube placement Enteric tube terminates in the antropyloric region. The upper abdominal bowel gas pattern is not obstructive | 1.Enteric tube terminates in the antropyloric region |
Generate impression based on findings. | Male 39 years old; Reason: assess for pancreatitis History: elevated lipase ABDOMEN:LUNG BASES: Trace left effusion. Minimal subsegmental atelectasis. Small area of focal consolidation in the right pleural lobe has improved.LIVER, BILIARY TRACT: Liver is normal in morphology. No solid hepatic lesions. The hepatic and p... | 1.No CT evidence of acute pancreatitis. No peripancreatic fluid collections.2.Attenuation of the splenic vein near the SMV is new.3.Improvement in the basilar consolidations. |
Generate impression based on findings. | Male 44 years old; Reason: pt is s/p 2 cycles Temodar please assess response to therapy and compare to previous imaging History: met melanoma CHEST:LUNGS AND PLEURA: There are multiple pulmonary metastatic deposits.Reference left lower lobe mass measures 3.2 x 1.7 cm (image 46/series 4) previously, 3.5 x 2.5 cm.The rig... | 1.Decrease in the size of the reference pulmonary lesions without new definite sites of disease. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Interval resolution of patchy ground glass opacities in the right upper lobe.Stable appearance of scattered. Scattered peri-fissural nodules, compatible with intrapulmonary lymph nodes.No new pulmonary nodule/masses.MEDIAST... | Interval resolution of right upper lobe ground glass opacities, which were likely related to aspiration/infection. No new suspicious nodule/mass. |
Generate impression based on findings. | There is a linear fracture of the right parietal bone extending from the anterior fontanelle to the lambdoid suture with approximately one bone width offset of the fracture edges. There is a thin, hyperdense extra axial collection in the right parietal lobe underlying the fracture measuring approximately 3 mm in maxim... | 1.Right parietal bone fracture with up to one bone width offset of the fracture edges. 2.Thin right parietal extra-axial hematoma. |
Generate impression based on findings. | Reason: 77F with new diagnosis of lung adenocarcinoma. History: staging CT CHEST:LUNGS AND PLEURA: Large, heterogeneous, lobulated and mildly spiculated soft tissue density mass in the right middle lobe measures 34 x 37 mm (series 3, image 56), compatible with primary lung cancer.The mass extends into the right hilum e... | 1. Heterogeneous, lobulated and mildly spiculated mass in the right middle lobe is compatible with primary lung cancer. The mass abuts the anterior margin of the right middle lobe and pleural invasion cannot be excluded. Multifocal metastatic disease including: right hilar involvement with vascular encasement, bilatera... |
Generate impression based on findings. | Female 89 years old; Reason: eval stool burden, free air History: see above A stent projects over the left ilium.There is mild gaseous distention of the colon with average amount of stool at the level of the rectum. The bowel gas pattern is nonobstructive.Enteric tube projects over the left upper abdomen. | 1.Average stool burden. |
Generate impression based on findings. | Female 44 years old; Reason: pna? liver abscess? History: hypoxia, abdominal pain CHEST:LUNGS AND PLEURA: Mild bilateral lung emphysematous changes. There are bilateral subcentimeter nodular opacities in a random distribution. Minimal basilar atelectasis/consolidation.No pleural effusions.MEDIASTINUM AND HILA: Heart si... | 1.Findings of extensive abscess or biloma formation within the liver.2.Masslike enlargement of the pancreatic head with infiltrative soft tissue about the aorta with thrombosis of the superior mesenteric vein and splenic vein compatible with a pancreatic adenocarcinoma.3.Thrombus in the IVC and left common iliac vein.4... |
Generate impression based on findings. | There is a right frontal approach ventricular shunt catheter with tip in the right frontal horn. There is unchanged prominence of the ventricles with ex vacuo dilatation and loss of cerebral white matter, better evaluated on prior MR. Agenesis of the corpus callosum redemonstrated. There is no midline shift or mass ef... | 1. No acute intracranial process.2. Right frontal approach ventricular shunt catheter with tip in the right frontal horn. Unchanged size and configuration of the enlarged ventricular system.3. Agenesis of the corpus callosum. |
Generate impression based on findings. | Female 48 years old; Reason: 48 yo female with recurrent granulosa cell ovarian cancer History: abdominal bloating CHEST:LUNGS AND PLEURA: Left upper lobe juxtapleural mass measures 1.8 x 1.1 cm (image 32/series 5) previously, 1.6 x 0.9 cm.The reference left lower lobe pulmonary nodule measures 6-mm (image 38/series 5)... | 1.Increase in the size of most of the reference lesions.2.New right hepatic lobe metastatic deposit. |
Generate impression based on findings. | The ventricles and sulci are prominent, particularly in the bilateral frontal lobes, which is greater than expected for age. The basal cisterns remain patent. There is no midline shift. There are scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which ... | 1. Prominent ventricles and sulci greater than expected for age, of uncertain etiology. 2. Right middle cranial fossa and possible left posterior fossa arachnoid cysts.3. Scattered punctate foci of T2/FLAIR hyperintensity within the cerebral white matter, which are nonspecific. |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. There is disc dessication and mild loss of disc height at the L5-S1 level. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with ... | Disc bulge with superimposed central disc protrusion and annular fissure at L5-S1. No significant spinal canal or foraminal stenosis of the lumbar spine. |
Generate impression based on findings. | Male, 68 years old, altered mental status, not waking up appropriately after sedation. Image quality is degraded by motion artifact and mottling. Within this limitation, no large intracranial hemorrhage or abnormal extra-axial collection is seen. No significant mass-effect is suspected. Given the exam limitations, sens... | No large intracranial hemorrhage or significant generalized mass effect is suspected. Due to study limitations, subtle abnormalities may not be detected. If clinical concern persists, a repeat examination or MRI can be considered. |
Generate impression based on findings. | THORACIC SPINE: The thoracic spine is in normal alignment, with a normal thoracic kyphosis. There are post radiation changes to the T11 and T12 vertebral bodies. There is a mild compression fracture of the T12 vertebral body with underlying metastatic lesion, not significantly changed from CT of 12/4/2014. There is mi... | 1. Several lesions throughout the thoracolumbar spine as described, are suspicious for osseous metastases. No gross interval progression, although comparison with prior CT is complicated by differences in technique. The larger lesions at T12 and L3 with associated pathologic compression fractures are not significantly ... |
Generate impression based on findings. | Female 66 years old; Reason: nephrolithiasis vs. appendicitis History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Hypoattenuation of the hepatic parenchyma suggests fatty infiltration. Within segment 7 of the liver there is a hypodense mass m... | 1.Mild right hydroureter with a 1.1 cm stone within the urinary bladder possibly at the UVJ junction.2.Multiple hypodense hepatic lesions. Follow up liver MRI as outpatient is recommended. |
Generate impression based on findings. | Female 43 years old; Reason: concern for SBO History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuation of the hepatic parenchyma suggests fatty infiltration. Status post cholecystectomy. No solid hepatic lesions are evident.SPLEEN: No significant abnormality note... | 1.No bowel obstruction as clinically questioned.2.Enlargement of the cervix with gas within the vagina of unclear etiology. Follow up is suggested to exclude malignancy.3.Polypoid filling defect within the cecum of unclear etiology, follow up is suggested to exclude malignancy. |
Generate impression based on findings. | Female 68 years old; Reason: NHL, initial staging History: newly diagnosed FL CHEST:LUNGS AND PLEURA: Scattered areas of linear atelectasis. No pleural effusions. No dominant lung lesion.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathyCHEST WALL: No axillary lymphadeno... | 1.No enlarged lymph nodes in the chest, abdomen or pelvis by CT size criteria.2.Small focus of gas within the urinary bladder of unclear etiology correlate for recent instrumentation.3.Colonic diverticulosis. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with minimal chroni... | No acute abnormality. Minimal chronic small vessel ischemic changes. |
Generate impression based on findings. | Female 96 years old; Reason: eval Dobbhoff placement History: s/p Dobbhoff Enteric tube projects over the right lower lobe bronchus. There is a right pulmonary opacity and probable pleural effusion. | 1.Enteric tube in the right lower lobe bronchus. Repositioning is suggested.2.Findings discussed with Dr. Verma at the time of dictation |
Generate impression based on findings. | Male 24 years old; Reason: Increased abdominal distention History: abdominal distention Mild gaseous distention of the small bowel and colon suggests an ileus. There are extensive postsurgical changes in the spine. Multiple catheter type devices are projected over the abdomen. | 1.Findings suggestive of an ileus. |
Generate impression based on findings. | Female 57 years old; Reason: free air History: above Previously known free intraperitoneal air seen on CT is not evident by plain film radiograph3 Postsurgical changes with multiple catheters project over the abdomen. | 1.Previously known free intraperitoneal air seen on CT is not evident by plain film radiograph. If there is further clinical concern consider CT scan. |
Generate impression based on findings. | There is an unchanged right transparietal ventriculostomy catheter that terminates in the white matter the right frontal lobe. The right ventricle is dysmorphic, but has decreased in size since April 2014, and now appears partially collapsed. Likewise, the left lateral and third ventricles have decreased in size. The ... | 1.Interval decrease in size of the shunted supratentorial ventricular system.2.Stable appearance of right cerebral encephalomalacia and hypoplastic left cerebellar hemisphere.3.No evidence of acute intracranial hemorrhage. |
Generate impression based on findings. | Vertigo. There is mild patchy cerebral white matter hypoattenuation. There is also more focal hypoattenuating areas in the basal ganglia. There is no evidence of acute intracranial hemorrhage or mass. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are carotid siphon ... | No evidence of acute intracranial hemorrhage. Mild patchy cerebral white matter hypoattenuation may represent small vessel ischemic disease of indeterminate age and a more focal hypoattenuating areas in the basal ganglia may represent a lacunar infarct of indeterminate age. However, non-contrast CT is insensitive for t... |
Generate impression based on findings. | Male, 55 years old, history of base of tongue cancer status post CRT. Head:No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Neck:Treatment related findings are redemonstrated including loss of the fascial... | 1. No evidence of recurrent primary tumor or pathologic adenopathy in the neck.2. A hypoattenuating lesion in the left supraclavicular fossa is unchanged relative to last year's study, but larger when compared to prior years. The lesion is nonspecific and may represent a sebaceous cyst.3. No evidence of metastatic dise... |
Generate impression based on findings. | History of mandibular fracture status post open reduction, internal fixation, complicated by mandibular nonunion in the left angle area. Left mandibular pain post orthognathic surgery, including two piece LeFort I maxillary osteotomy and repositioning, right sagittal split of mandible with mandibular advancement, and o... | 1. Persistent non-union of the left mandibular angle osteotomy and fracture site with associated hypertrophic bone or callous that impinges upon the inferior alveolar nerve canal and mild cross-bite deformity. 2. Persistent lucency across the right sagittal split osteotomy gap. 3. The right parasymphyseal mandibular fr... |
Generate impression based on findings. | Female, 77 years old, new diagnosis of lung adenocarcinoma, staging exam. No evidence of mass effect, parenchymal edema or pathologic enhancement is seen to suggest intracranial metastatic disease. No intracranial hemorrhage abnormal extra-axial fluid collections are detected. The ventricles are normal in size and morp... | No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Male, 47 years old, with back pain, status post lumbar instrumentation. Extensive surgical findings are demonstrated including evidence of L3 vertebrectomy with placement of a vertebral body spacer/prosthesis. Resection included the entirety of the L3 posterior elements. Partial laminectomy was performed at L2, and per... | Expected findings status post L3 vertebrectomy with partial laminectomy at L2 and perhaps at L4. Instrumented posterior spinal fusion has also been performed from L1 through L5. No instrument complications are suspected.The spinal canal is not well visualized through the operative region due to streak artifact. Elsewhe... |
Generate impression based on findings. | Female, 60 years old, acute somnolence and confusion, known PCA stroke. Assess for acute bleed or edema. Redemonstrated is an area of hypoattenuation compatible with recent infarct involving the right PCA territory including the occipital lobe and medial temporal lobe. A small lesion is also seen within the right thala... | Evolving right PCA territory stroke with no evidence of geographic expansion or frank hemorrhagic conversion. Mass effect is unchanged and there are no new lesions which would account for the patient's symptoms. |
Generate impression based on findings. | Male, 10 years old, status post VP shunt revision. The right parietal approach ventricular shunt catheter has been revised. The intracranial portion courses medially to terminate within the right lateral ventricle. The extracranial portions appear intact. Scalp swelling and subcutaneous air are compatible with recent i... | Interval revision of the right parietal approach ventricular shunt catheter. The ventricular system remains significantly dilated relative to the prior examination. |
Generate impression based on findings. | Female, 25 years old, status post motor vehicle collision with significant damage and loss of consciousness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or... | Unremarkable evaluation of the head. |
Generate impression based on findings. | Male 80 years old; Reason: Evaluate for fracture. History: Hip pain after ground-level fall. Two views of the right hip reveal no fracture or malalignment. Vascular calcifications are noted. There is partially imaged degenerative disease of the lower lumbar spine. | No acute fracture or malalignment. |
Generate impression based on findings. | Male 20 years old; Reason: please assess for bowel caliber, possible obstruction, cause for abd pain History: severe abd pain ABDOMEN:LUNG BASES: Bilateral subsegmental lower lobe atelectasis and small bilateral effusions.Heart size is enlarged. Hyperdense material within the left ventricle represents thrombus.LVAD dev... | 1.Persistent small bowel dilation.2.Intra-aortic balloon pump as detailed above with position in the abdominal aorta.3.New large perisplenic hemorrhage.4.Distention of the abdominal wall suggestive of abdominal compartment syndrome.5.Findings discussed with Dr. Schneider at the time of dictation. |
Generate impression based on findings. | Female 40 years old; Reason: Left toe pain, evaluate for osteomyelitis. There is soft tissue irregularity along the distal toe/toenail. There is no definite cortical erosion. No fracture or malalignment is seen. Soft tissue swelling is noted about the great toe. | No specific radiographic evidence of osteomyelitis; MRI is more sensitive means of evaluation and should be considered if clinically warranted. |
Generate impression based on findings. | Female, 89 years old, with bilateral posterior headache, assess for intracranial bleed or cervical artery dissection. Non-angiographic findings:Periventricular hypoattenuation is seen, a nonspecific finding which may reflect age indeterminate small vessel ischemic disease. A small region of encephalomalacia in the righ... | 1. No evidence of acute intracranial hemorrhage or acute infarction. Age indeterminate small vessel ischemic disease and at least one small cortical stroke is suspected.2. The vertebral arteries are generally small in caliber throughout, right side more than left. This is, however, due at least in part to congenital fa... |
Generate impression based on findings. | Emphysematous bullae due to alpha-1 antitrypsin deficit deficiency, now intubated. Assess for pneumothorax. LUNGS AND PLEURA: Interval intubation with the endotracheal tube tip approximately 3 cm above the carina. There is no pneumothorax or pleural effusion. Redemonstration of extensive emphysema and bulla formation w... | 1. Interval intubation without pneumothorax.2. Extensive emphysema with bulla formation and associated atelectasis.3. Hypoattenuating thyroid nodules; if clinically warranted ultrasound may be obtained for further evaluation.4. Age-indeterminate compression deformity of the L2 vertebral body. |
Generate impression based on findings. | Male 17 years old Reason: rule out obstruction History: feverVIEW: Abdomen and chest AP (two views) 1/3/15 at 1017 hrs. There is a broken VP shunt catheter at the level of the neck. The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette size is normal. Right lower lobe opacity, likely atelectasis ... | Right lower lobe opacity, likely atelectasis or pneumonia.Broken VP shunt catheter. Findings were communicated to and acknowledged by RN Bahl on 1/4/15 at 830 hours. |
Generate impression based on findings. | History of lung and throat cancer, radiation pneumonitis/fibrosis admitted with melena. Now with fever, cough, increased shortness of breath. Question of infection. LUNGS AND PLEURA: There is interval increase in right middle lobe reticulonodular/groundglass opacities which may represent infection. There are new scatte... | 1. Interval increase in right middle lobe reticulonodular/groundglass opacities which may represent infection and/or aspiration.2. Increased size of the left lower lobe pulmonary nodule.3. Increased size of mild enlarged left paratracheal lymph node.4. Unchanged small to moderate right pleural effusion. |
Generate impression based on findings. | Male 56 years old; Reason: 56M s/p prostatectomy with evidence of urine leak. Assess for source of leak, NEED DELAYED IMAGES ONLY. History: urine leak s/p prostatectomy ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PA... | 1.No evidence of a urinary leak as clinically questioned.2.Extensive body wall emphysema, likely postprocedural. |
Generate impression based on findings. | Female 7 months old Reason: intubated, pre-extubation status post liver transplant.VIEW: Chest AP (one view) 1/4/15 at 547 hours. ET tube tip is below the thoracic inlet. Feeding tube , central line , IVC vascular stent , and right upper abdominal quadrant drain again noted. Cardiac silhouette size is top normal or mig... | Interval improvement in left lower lobe atelectasis. |
Generate impression based on findings. | The ventricles and sulci are mildly prominent, greater than expected for age. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is minimal residual encephalomalacia related to prior bilateral frontal lobe infarcts and prior associated hemorrhage, which is best seen on sagittal images... | 1. No acute intracranial hemorrhage.2. Multiple, scattered old bilateral frontal, right parietal and cerebellar infarcts.3. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Male 57 years old; Reason: eval for acute abnormality History: RUQ/epigastric pain, fever, vomiting, diarrhea ABDOMEN:LUNG BASES: Multiple lower lobe pulmonary micronodules largest in the right lower lung measuring 7 millimeters (image 1/series 10241)LIVER, BILIARY TRACT: Liver parenchyma is hypodense suggestive of fat... | 1.Etiology for the patient's epigastric pain is not evident.2.Seven millimeter right lower lobe pulmonary nodule for which follow up is suggested. |
Generate impression based on findings. | Left wrist injury.VIEWS: Left wrist AP, lateral and oblique and left forearm AP and lateral 1/3/15 (5 views) Soft tissue swelling with no evidence of fracture, malalignment or joint effusion. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | There are postoperative findings related to a suboccipital craniectomy with a partially visualized intrathecal catheter entering at the interspace between C1 and occiput. The radiopaque portion of the shunt catheter is intact. The ventricles are unchanged in size and configuration. The sulci are within normal limits. ... | No acute intracranial abnormality or change in ventricular size. |
Generate impression based on findings. | Male 56 years old; Reason: p/w pancreatic necrosis s/p IR drainage bowel ischemia with rising lactate History: Bowel ischemia with rising lactate ABDOMEN:LUNG BASES: Bilateral small pleural effusions. Near complete atelectasis of the lower lobes.Portions of the pleural effusion is loculated anteriorly.LIVER, BILIARY TR... | 1.Decrease in the size of the pockets of fluid some with foci of gas possibly from catheter placement but infection of the collections are not excluded. Sampling of the fluid is suggested2.Gas within the gallbladder unchanged the etiology for which is not evident on the current exam. It may be from prior ERCP.3.Small f... |
Generate impression based on findings. | There is evidence of prior left frontal craniotomy with chronic left frontal lobe and left basal ganglia encephalomalacia and ex vacuo dilatation of the ventricle, likely representing post-operative and post-treatment changes related to patient's reported remote resection of an oligodendroglioma. The ventricles and su... | 1. No acute intracranial intracranial hemorrhage, mass effect or midline shift. 2. Post-operative and post-treatment changes of the left frontal lobe, related to patient's remote resection of oligodendroglioma. No definite evidence of tumor.3. Progression of age-indeterminate mild to moderate chronic small vessel ische... |
Generate impression based on findings. | Female 23 years old Reason: please assess for pyelo, nephrocalcinosis. liver. free fluid History: c/o flank pain, immunocompromised now with fevers, transaminitisEXAMINATION: Sonogram abdomen 1/3/15 LIVER:No significant abnormality noted.GALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No signific... | Normal examination. |
Generate impression based on findings. | Male, 63 years old, acute left central vision blurriness. Non-angiographic findings:An region of hypoattenuation is seen within the left inferior frontal lobe. Within this region, there may be an area of nodular more hyper attenuating tissue. A faint blush of ring enhancement is seen in this area on the angiographic im... | 1. Hypoattenuation is seen within the inferior left frontal lobe. There appears also to be a nodular region of tissue within this hypoattenuation which seems to show faint rim enhancement on the angiographic images. Findings are concerning for a metastatic lesion and should be further evaluated with contrast enhanced M... |
Generate impression based on findings. | Tachycardia. Question pulmonary embolism. PULMONARY ARTERIES: Technically adequate study without evidence of an acute pulmonary embolism. The main pulmonary artery is not enlarged. The pulmonary arteries and the left paramediastinal region are attenuated due to consolidation and fibrosis.LUNGS AND PLEURA: There is inte... | 1. No evidence of pulmonary embolus.2. Findings suspicious for early edema without pleural effusion. PULMONARY EMBOLISM: PE: No acute pulmonary embolus.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Wrist painVIEWS: Chest AP lateral and oblique 1/3/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Status post fracture.VIEWS: Right shoulder AP 1/3/15 (one views) Proximal gas or fracture of the metaphysis of the right humerus is seen near-anatomic alignment. | Transverse fracture of the proximal humerus unchanged. |
Generate impression based on findings. | Female 5 years old Reason: prox hum fx, other fx? VIEWS: Right shoulder AP in internal and external rotation and right humerus AP and lateral. 1/3/15 (4 views) There is a nondisplaced transverse fracture of the proximal metaphyses of the right humerus. No evidence of shoulder dislocation. | Right humerus fracture as described. |
Generate impression based on findings. | Motion artifact somewhat degrades image quality. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is mild mucosal thickening of the right maxillary... | No acute intracranial hemorrhage. |
Generate impression based on findings. | Female 15 years old Reason: R/O Fracture History: Pain and swellingVIEWS: Right foot AP, lateral and oblique 1/3/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 5 days old Reason: evaluate contrast History: s/p UGI studyVIEW: Chest and abdomen AP (two views) 1/4/15 418 hours NG tube terminates in the stomach. UVC terminates at the IVC. Residual contrast material is visualized in the lower esophagus stomach and proximal small bowel loops on a background of bowel distention... | Interval progression of contrast material as described. Persistent , no specific bowel distention. |
Generate impression based on findings. | Female 48 years old; Reason: nausea/vomiting, decreased BS, not passing flatus - r/o obstruction / mass History: nausea/vomiting, decreased BS, not passing flatus ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS... | 1.No bowel obstruction is clinically questioned. Oral contrast has reached the rectum. |
Generate impression based on findings. | There is a right posterior parietal approach ventricular shunt catheter which traverses the right inferior atrium and and terminates along the right thalamus, unchanged in position. There is interval decrease in the size of the ventricular system with the frontal diameter measuring 41 mm, previously 48 mm, and the rig... | 1. Right posterior parietal approach ventricular shunt system, unchanged in position. Interval decrease in size of ventricular caliber. 2. Nodularity along the lateral margin of the lateral ventricles, particularly on the left, similar to prior MRI. |
Generate impression based on findings. | Female 32 years old; Reason: assess R adnexal mass, r/o mets, abscess History: LLQ severe abdominal pain, hx abdominal surgery/LP shunt, R adnexal mass concerning for malignancy ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is enlarged measuring 20 centimeters in craniocaudal dimensio... | 1.No significant change in the right adnexal lesion ; pelvic sonography is suggested for follow up. |
Generate impression based on findings. | Back painVIEWS: Lumbar spine AP and lateral and lateral view of the sacrum. 1/4/15 (3 views) Vertebral body heights and disk spaces are maintained. No evidence or fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Female 11 months old Reason: SOB, PNA? VIEW: Chest AP (one view) 1/4/15 Cardiac silhouette size is normal. Ill-defined right middle lobe airspace opacity either atelectasis or pneumonia. No effusions or pneumothorax. | Right middle lobe opacity, likely atelectasis or pneumonia. |
Generate impression based on findings. | There is a stable right parietal approach ventriculostomy catheter with tip across midline in the region of the left lateral ventricle. There is no evidence of acute intracranial hemorrhage. Overall, severe ventriculomegaly appears mildly improved. The third ventricle and temporal horns appear minimally decreased in c... | Overall, severe ventriculomegaly has midly improved. Unchanged position of the right parietal approach ventriculostomy catheter. |
Generate impression based on findings. | There is a linear fracture of the right parietal bone extending from the anterior fontanelle to the lambdoid suture with approximately one bone width offset of the fracture edges. There is a thin, hyperdense extra axial collection in the right parietal lobe underlying the fracture measuring approximately 3 mm in maxim... | 1.Right parietal bone fracture with up to one bone width offset of the fracture edges. 2.Thin right parietal extra-axial hematoma. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Off coumadin, history of PE/DVT, IVC filter, with right lower extremity edema/pain, and dyspnea on exertion. Question of PE, pneumonia, and pulmonary edema. PULMONARY ARTERIES: Technically adequate study without evidence of an acute pulmonary embolus. The main pulmonary artery is not enlarged.LUNGS AND PLEURA: There ar... | 1. No evidence of an acute pulmonary embolus.2. No specific findings to account for the patient's symptoms.3. Unchanged pulmonary nodules which require no follow up at this time. PULMONARY EMBOLISM: PE: NoneChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | There is a linear fracture of the right parietal bone extending from the anterior fontanelle to the lambdoid suture with approximately one bone width offset of the fracture edges, unchanged. There is a thin, isodense extra axial collection in the right parietal lobe underlying the fracture measuring approximately 2-3 ... | 1. Right parietal bone fracture with up to one bone width offset of the fracture edges. 2. Thin right parietal extra-axial collection, without significant interval change in size. 3. Small right subgaleal hematoma. |
Generate impression based on findings. | Female 34 years old; Reason: eval for abd pathology, SBO - 34 y/o F with h/o abd radiation, SBO History: nausea vomiting, abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesions in the right hepatic lobe are too small to characterize but are unchanged.SP... | 1.Findings compatible with a severe small bowel obstruction with a transition in the right lower abdomen in the region of the ileum. New pelvic ascites likely a result of the bowel obstruction. |
Generate impression based on findings. | Female 18 years old Reason: increased O2 requirement, eval consolidation/effusion VIEW: Chest AP (one view) 1/3/15 at 1143 hrs. Central lines unchanged. Cardiac silhouette size is top normal. Interval worsening in hazy opacities of both lungs. Question on right-sided pleural effusion versus artifact. No pneumothorax. | Interval worsening in bilateral lung aeration as described |
Generate impression based on findings. | Male 13 days old Reason: is the ett in proper position, are the lungs clear History: trach/vent, rdsVIEW: Chest and abdomen AP (two views) 1/3/15 at 1337 hrs Tracheostomy tube tip is below the thoracic inlet. Left upper extremity central line tip is in the left innominate vein. NG tube terminates at the stomach.Cardiac... | Interval resolution of right upper lobe atelectasis. |
Generate impression based on findings. | Male 47 years old; Reason: eval for source control of Fournier's gangrene, fistula History: fevers, colonized wounds ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Minimal basilar atelectasis bilaterally.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No... | 1.Decreasing soft tissue gas. 2.No discrete fistula is identified ; extensive postsurgical changes within the perineum and pelvis.3.Further evaluation with a pelvic MRI-Crohn's pelvic protocol is suggested for evaluation of a fistula. |
Generate impression based on findings. | Male 1 day old Reason: is the ett in proper position, are the lungs clear History: 39 weeks, MASVIEW: Chest and abdomen AP (two views) 1/3/15 at 1756 hrs UAC terminates at T6. UVC is coiled towards itself in the umbilical or left portal vein. ET tube terminates at the right main stem bronchus. NG tube tip is at the sto... | Misplaced UVC and ET tube.Normal, age related abdominal gas pattern. |
Generate impression based on findings. | Male, 59 years old, with right parietal signs and also subacute vertigo for one week with right cerebellar hypodensity. Also left hemianopsia. Non-angiographic findings:Hypodensity and encephalomalacia within the inferior right cerebellar hemisphere is again seen similar to that noted on the prior examination.There may... | 1. Hypoattenuation within the inferior right cerebellar hemisphere is again seen suggestive of an acute or subacute infarct. 2. Lack of contrast opacification of the right vertebral artery from just beyond its origin to just before the vertebro-basilar junction where there appears to be an intraluminal filling defect. ... |
Generate impression based on findings. | There is persistent diffuse sulcal effacement without significant interval change from prior examinations. There are persistent mildly low-lying cerebellar tonsils, somewhat limited in evaluation due to beam hardening artifact. The ventricular system is unchanged in size and configuration. There is no midline shift. T... | 1. No acute intracranial hemorrhage or midline shift. 2. No significant interval change in findings suggestive of pseudotumor cerebri. |
Generate impression based on findings. | Female 21 years old; Reason: bilateral lower abdominal pain after MVC History: bilateral lower abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No... | 1.No evidence for abdominal trauma. |
Generate impression based on findings. | Male 69 years old; Reason: AAA? divertics? History: abd pain ABDOMEN:LUNG BASES: Mild right lower lobe bronchiectasis. Basilar interstitial ground-glass opacities.LIVER, BILIARY TRACT: Liver is normal in morphology. There is cholelithiasis with a new stone in the gallbladder neck or cystic duct. There is mild perichole... | 1.Cholelithiasis with new stone in the gallbladder neck or cystic duct with mild pericholecystic inflammation highly suspicious for developing acute cholecystitis.2.Abdominal aortic aneurysm status post stent graft repair with persistent type II endoleak. |
Generate impression based on findings. | Redemonstrated is hypoattenuation involving the left superior and middle temporal gyri, and left angular gyrus, representing a late subacute infarct, without significant interval change in size or extent. There is encephalomalacia in the left superior parietal lobule, consistent with chronic infarct. There is no intra... | 1. Late subacute left MCA temporal infarct without expansion or hemorrhage.2. Small focus of encephalomalacia consistent with chronic left MCA parietal infarct.3. Mild small vessel ischemic changes. If there is continued clinical concern and no contraindication to MR, MRI of the brain is recommended. |
Generate impression based on findings. | Male 1 day old Reason: lines \T\ tubes History: lines \T\ tubesVIEW: Chest and abdomen AP (two views) 1/4/15 at 356 hours. UAC terminates at T7. UVC tip is at the left portal vein. Removal of ET and NG tubes. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax.Disorganized, nonspecific abdo... | Interval repositioning of umbilical lines and removal of ET and NG tubes.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 55 years old; Reason: eval hernia History: painful abdominal mass ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is enlarged and hypoattenuating compatible with fatty infiltration. Biliary tree is normal in caliber. The intrahepatic portal vein and hepatic veins are patent.SPLEE... | 1.No bowel obstruction.2.Small fat-containing anterior abdominal wall hernia as detailed above.3.Hepatomegaly with hypoattenuation of the hepatic parenchyma suggestive of fatty infiltration.4.Nonspecific mild prominence of the pancreatic duct. Further evaluation by M.R.C.P. can be obtained |
Generate impression based on findings. | Patient with sepsis. Please review chest x-ray. CHEST:LUNGS AND PLEURA: There is a large right-sided thickwalled collection of fluid and air which is occupying approximately two thirds of the right hemithorax; this is consistent with a right hydropneumothorax. Air within this collection raises the question of a broncho... | 1. Large right sided air and fluid collection is compatible with a right hydropneumothorax; air within this collection raises the question of a bronchopleural fistula.2. Left lower lobe atelectasis. Patchy left upper lobe groundglass opacities may represent aspiration and/or infection.3. Mediastinal lymphadenopathy. 4.... |
Generate impression based on findings. | Female 69 years old; Reason: r/o hydronephrosis, kidney mass, kidney parenchymal abnormalities History: AKI ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No s... | 1.No nephrolithiasis or hydronephrosis. |
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